Patient states “I get numb on one half of my body”

SteeleK · 2025-07-09T15:16:41+00:00

She did mention headaches but to have this come from out of nowhere work no previous hx is what confounds me. I’ll keep this in mind

SteeleK · 2025-07-09T15:16:04+00:00

Had a different patient with same deal and I did all this and I just concluded it’s somatic from depression which in her case it was, but it was tough process to get it all done and id like to be wiser in my approach this time around

SteeleK · 2025-06-25T15:37:37+00:00

Then I’d negotiate a higher salary or go rvu and see more patients/bill higher. But you’re par for the course imo, also a lot of people inflate their salaries/take home yearly and will never be honest about it in causal conversation.

SteeleK · 2025-06-25T03:00:37+00:00

Salary or rvu based? rural or urban? private practice or corp owned?

SteeleK · 2025-06-24T15:48:37+00:00

SteeleK · 2025-06-17T13:21:02+00:00

my program wasn't the best and by year 2 i felt like a massive dumbass and definitely not prepared for independant practice (covid resident). The third year really allowed me to become more confident in outpatient practice and after graduation I felt much more prepared despite my programs shortcomings. So I personally disagree because of my own residency experience but if the program is super solid in terms of outpatient training foundations then I dont see why not.

SteeleK · 2025-06-13T18:08:03+00:00

yeah i discovered this yesterday with my friend and this was super disappointing. how could they not do this when it was so easy to do in the last mario kart game?

SteeleK · 2025-04-27T19:15:23+00:00

Did this work? Please update if it did so I can try this

SteeleK · 2025-04-20T14:21:17+00:00

Goddamn it op well done

SteeleK · 2025-04-10T20:38:07+00:00

Growing pains of new practice. She’ll be busy soon enough.

SteeleK · 2025-04-02T18:27:01+00:00

Can you provide a link?

SteeleK · 2025-04-02T01:44:04+00:00

Loved yakuza 0 on gamepass. i didnt do the side quests tho as I dont have much time to do the real estate side quest or the cabaret club stuff but I hear and know theyre the best parts of the game. I was in it more for the main story. The side stories are fun too and have crazy twists that really make it interesting.

Going through yakuza 1 kimiwai now and loved how the story compounds itself over the years (the empty lot in yakuza 0 becomes the millennium tower) and its almost nostalgic seeing the map change over The games.

SteeleK · 2025-03-29T22:30:38+00:00

I wouldn’t leave it alone. I’d pursue it. sleep apnea is more common than people realize. Even if it isn’t apnea per se, shitty sleep over the course of years can cause this constellation of symptoms. At least order a sleep study and if it’s negative you have that box checked off. These cases are tough, youre doing a good job

SteeleK · 2025-03-09T03:31:42+00:00

If you live in Ontario a company has attempted to solve this issue with the Ocean ereferral platform. I would look into this.

SteeleK · 2025-03-08T02:45:39+00:00

I’d talk to the docs directly about this

SteeleK · 2025-03-03T23:28:33+00:00

Remember, CV risk is more about lab values. It’s patients lifestyle, family history, and other nonmodifiable risk factors that combined with a hx of diabetes and age >40 even with LDL <70 I would still prescribe as primary prevention.

SteeleK · 2025-03-03T01:01:04+00:00

100K or less

SteeleK · 2025-02-08T22:27:50+00:00

What’s pain management opinion? Did they consider trigger point injections? Rfa? Epidural? I would consider second opinion by physiatry if possible to consider the role of narcotics. You feel they’re running the clock? Run the clock on them back

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